Flashcards in Exam 3- sensory and CN Deck (60):
what are considered the 5 basic senses?
sight, smell, taste, touch, hearing
Name some senses
**he said he will not test us on this, but this is just thought provoking**
~Hunger/ satiety (visceral)
~Need to breath
what are the 2 main tracts that carry touch back?
~Anterolateral of spinothalamic tract
dorsal column- can also be called
sensory info traveling in dorsal column
sensory info traveling in Anterolateral of spinothalmic tract
temperature can be easily tested by
asking the pts if your hand are cold/hot
Proprioception can be easily tested by
~move one arm to a position with eyes closed
~have him move the other arm to the same position (the joint know the position)
Vibration can be easily tested by
test with toning forks
Light touch can be easily tested by
~cotton (up and down so that hair does not get involved)
Discrimination touch can be easily tested by
~2 pt discrimination
~2 sharp pts
~more in hands and face, less in back and thighs
~Traced figure (graphesthesia)- ~Stereognosis
How to test for Graoheselsia?
draw an upper case figure somewhere on the back, etc
How to test for Sterognosis?
know if you are holding something, how much you are holding
How to test for Double simultaneous?
~different sides of the body at the same time (can be light touch, sharp, etc)
~Test bilateral, eyes closed, test randomly
Kinesthetic- meaning and how to test
~feeling the change of the length of tissue
~move the joint (lengthen or shorten the muscles) and pt should be able to tell us which direction we are moving them in
~Hold on sides of limb, so the pt cannot tell which direction you are moving it based just on pressure on limb.
~Could ask where in space the limb is
~Don’t have to have limb moving at that point
What is Proprioception?
feeling joint angle or position
Different types of sensations (or lack of)
Loss of sense
painful stimuli but mutes sensation (when you break your arm, you have a lessen pain then you should)
heightened sensation to a painful stimuli (when you break your arm, you have an increase pain then you should)
unpleasant or painful cutaneous sensory stimulus; pins and needles, etc
~pain from non-noxious stimuli
~you sense pain from a non-noxious stimuli (when a person rests their hand on your shoulder, it is painful)
ability to feel light touch
inability to feel light touch
ability to feel the deflection of hair
ability to feel vibration
inability to feel vibration
ability to know what is in out pocket without seeing it/ just feeling; ability to identify something by touch alone
inability to identify something by touch alone
How to label a reflex?
Reflex Labeling- 0+
Reflex Labeling- 1+
Reflex Labeling- 2+
*can be normal with 1+ and 3+ if it is their normal
Reflex Labeling- 3+
Reflex Labeling- 4+
1-3 beats of clonus
Reflex Labeling- ***5+
normal reflex spots
what is the biceps reflex testing (spinal level)
what is the brachioradialis reflex testing (spinal level)
what is the triceps reflex testing (spinal level)
what is the patellar reflex testing (spinal level)
what is the ankle reflex testing (spinal level)
other reflexes (the not as common, but good ones)
~Plantar reflex/ Babinski
Cremastric reflex- what do you do?
Stroke the skin of proximal and medial aspects of thigh
Cremastric reflex- testing levels
Cremastric reflex- normal reflex
Normal response is elevation of testicles
Bulbocavernous reflex- what do you do?
Pinching of glans penis
Bulbocavernous reflex- testing levels
Bulbocavernous reflex- what is the reaction
Normal response is palpable contraction of bulbospongiosus meatus at base of penis
Anal sphincter- what do we do?
Scratching of perianal skin
Anal sphincter- testing levels
Anal sphincter- what is the reaction
Normal contraction of external anal sphincter
Abdominal reflex- what do we do
Scratching of skin of anterior abdominal wall with sharp object (lateral to medial scratch in a single dermatome)
Abdominal reflex- what is the testing level?
Evaluates integrity of T6-L1
Abdominal reflex- what is the reaction
Normal response is deviation of umbilicus toward stimulus
Plantar reflex/ Babinski- what do we do?
Stimulus of sole of foot in sweeping motion; calcaneus to distal over shat f 5th metatarsal to medial metatarsal heads
Plantar reflex/ Babinski- what is the testing level